Organization Name: | MAINE CDC PUBLIC HEALTH NURSING |
NPI Number: | 1659505451 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DWIGHT R LITTLEFIELD (PUBLIC HEALTH NURSING CONSULTANT) |
Mailing Address: | 286 Water St Key Plz Fl 7 State House Station # 11 Augusta |
State: | ME US |
Postal Code: | 043330011 |
Phone Number: | 2072879025 |
Fax Number: | 2072875355 |
NPI Enumeration Date: | 05/07/2009 |
NPI Last Update Date: | 07/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |